All states › California › Porterville › Gateway Post Acute
661 West Poplar Porterville, CA 93257 · Tulare County
All 5 nursing homes in Porterville, CA (5 take Medicaid)
CMS certification number 056423 · See this home on Medicare Care Compare
Is Gateway Post Acute a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Gateway Post Acute as of October 2026.
CMS rates it 3 out of 5 stars overall, about the same as the California average of 3.2.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.86 hours per resident per day at Gateway Post Acute, below the California median of 4.27 (US median: 3.72). About 0.24 of those hours are from registered nurses. On weekends it falls to 3.60 hours, 7% below its all-week average. 52.2% of nursing staff left within a year (California median 36%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there. 2 administrators left in the past year.
About this nursing home
Paying for care at Gateway Post Acute: Medicare and Medicaid
Gateway Post Acute is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet California's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on May 14, 2026 and found 14 deficiencies, plus 2 from complaint inspections in the same period. In total, inspectors issued 54 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 54 citations at Gateway Post Acute across 8 inspection dates, 6 of them from complaint investigations. 1 was at the actual-harm level (G–I), most recently on October 17, 2024. The most common areas cited were quality of life and care (16) and resident assessment and care planning (10). The most serious was cited under the CMS rule to "provide safe, appropriate pain management for a resident who requires such services" (tag F0697, level G, October 17, 2024). 1 citation was under CMS's abuse, neglect and exploitation rules.
June 4, 2026 · 2 citations · includes complaint inspection
DHonor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
DDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
May 14, 2026 · 14 citations
FEmploy sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
EEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
EEnsure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EHave a policy regarding use and storage of foods brought to residents by family and other visitors.
EProvide and implement an infection prevention and control program.
EProvide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DProvide doctor's orders for the resident's immediate care at the time the resident was admitted.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DProvide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
DEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
June 4, 2025 · 1 citation · includes complaint inspection
DProvide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
October 17, 2024 · 22 citations, includes actual harm
GProvide safe, appropriate pain management for a resident who requires such services.
FProvide and implement an infection prevention and control program.
FImplement a program that monitors antibiotic use.
DAllow residents to self-administer drugs if determined clinically appropriate.
DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
DEnsure each resident receives an accurate assessment.
DCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
DCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DEnsure services provided by the nursing facility meet professional standards of quality.
DProvide activities to meet all resident's needs.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
DProvide enough food/fluids to maintain a resident's health.
DProvide safe, appropriate dialysis care/services for a resident who requires such services.
DTry different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
DHave a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
DEnsure medication error rates are not 5 percent or greater.
DEnsure that residents are free from significant medication errors.
DProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
September 9, 2024 · 1 citation · includes complaint inspection
DProvide enough food/fluids to maintain a resident's health.
January 10, 2024 · 1 citation · includes complaint inspection
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
December 12, 2023 · 1 citation · includes complaint inspection
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
November 4, 2022 · 12 citations
EHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
DEnsure services provided by the nursing facility meet professional standards of quality.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DProvide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
DProvide activities to meet all resident's needs.
DAssist a resident in gaining access to vision and hearing services.
DProvide appropriate foot care.
DEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
DObserve each nurse aide's job performance and give regular training.
DEnsure each resident must receive and the facility must provide necessary behavioral health care and services.
DEnsure medication error rates are not 5 percent or greater.
BProvide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Questions to ask on a tour of Gateway Post Acute
- Inspectors cited the home at the actual-harm level on October 17, 2024 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on June 4, 2026. How are staff trained, and how are concerns reported?
- CMS rates staffing 2 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- Nursing staff turnover was 52.2% a year. How many of the staff come from agencies?
- Several administrators left in the past year. What has changed for residents since then?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
1 penalty in the last three years, including $8,018 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Sep 9, 2024 | Fine | $8,018 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 3/5 | 2/5 | 2/5 | 5/5 |
| August 2026 | 2/5 | 2/5 | 1/5 | 5/5 |
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Location
Hospitals near Gateway Post Acute
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
-
1.2 mi
Sierra View District Hospital PortervilleEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 3h 9m for patients treated and sent home
- 2.8 mi
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20.9 mi
Adventist Health Tulare TulareEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 3h 18m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Gateway Post Acute › All nursing homes in Porterville ›
Compare Gateway Post Acute with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Sierra View Medical Center · Porterville · 4 stars · 1.2 mi
- Sierra Valley Rehab Center · Porterville · 4 stars · 1.4 mi
- Sequoia Transitional Care · Porterville · 4 stars · 1.5 mi
Other PACS Group nursing homes in California
- Paradise Valley Health Care · National City · 5 stars
- McClure Post Acute · Oakland · 5 stars
- Pine Creek Care Center · Roseville · 5 stars
- Bel Vista Healthcare Center · Long Beach · 5 stars
- Trellis Chino · Chino · 5 stars
- San Francisco Post Acute · San Francisco · 5 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 277 PACS Group nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.